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March Stress Fracture

Definition

A march stress fracture is a small break in a metatarsal bone of the foot that occurs without a major traumatic episode. There are five metatarsal bones in each foot. They are located in the area between your toes and your ankle. They were called march fractures because they were first seen in military recruits because of excess marching. These fractures still occur in that group.

Symptoms

A march stress fracture may cause pain in the middle or front of the foot. You may notice swelling. Your foot will feel better when resting and worse with activity.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a specialist. An orthopedist focuses on bones. A sports medicine physician works on sports-related injuries.

Imaging tests evaluate the bones in your foot and surrounding structures. These may include:

Treatment

Stress fractures are treated with rest and nonsteroidal anti-inflammatory drugs (NSAIDs). You will need to rest your foot for 3-6 weeks. Your doctor may recommend
crutches
for a week or two so that you don’t put any weight on your foot. Sometimes a brace or cast is used for a short time to aid healing.

Once you are able to move without pain, your doctor will allow you to return to normal activities. Gradually increase your activity over several weeks.

Prevention

To help reduce your chance of a march stress fracture, take the following steps:

Wear shock-absorbing insoles when running or during other high-impact exercise

When starting a new sport or increasing your workout, do so gradually

Choose footwear
that takes into account the specific sport and your type of foot

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.